The most common tumors of the spine are metastases and haematologic malignancies. Technologic improvement regarding oncological diagnosis and treatment leads to longer survival of cancer patients. Therefore, cases with spinal metastases are increasing consistently. However, parallel to this issue, there is also improvement upon diagnosis and treatment of spinal metastases. Diagnosis of spine metastasis before any major destruction or neurological compromise will facilitate its treatment. Pain control alongside maintaining and restoring the spinal stability, and neurological functions should be aimed in the treatment of spinal metastases. Appropriate treatment of spinal metastasis increases the patient`s quality of life and compatibility to oncological treatment.